Revenue Cycle Specialist

Position Overview:

MyOme is seeking a high-energy, detail-oriented Revenue Cycle Specialist to join our growing Revenue Cycle Management (RCM) team. This is a tactical, hands-on role focused on claim and denials management, appeals, and the manual administrative work that keeps a high-performing billing operation running. You’ll spend your days inside RCM systems, payor portals, and clearinghouses — working claims, resolving denials, and turning friction into revenue.

This role is ideal for a rising star with a few years of laboratory or diagnostic billing experience who is looking to take ownership of meaningful work in a fast-growing genomics company. You’ll report directly to the Head of Revenue Cycle Management and work alongside a small, focused team where your output is highly visible and your impact is immediate. If you bring a go-getter mentality, sharp attention to detail, and a relentless instinct to chase down every dollar a payor owes us, we want to hear from you.

What You'll Do:

• Own day-to-day claim and denials management across MyOme’s book of business, working claims through resolution in our RCM system and payor portals.
• Investigate and resolve both front-end and back-end rejections and denials, identifying root causes and partnering with internal teams to prevent recurrence.
• Draft, submit, and track appeals across commercial and government payors, including out-of-network claim scenarios, with strong documentation and follow-through.
• Work denials across the full category spectrum — prior authorization, medical necessity, timely filing, eligibility, coordination of benefits, and non-covered services — escalating systemic issues with proposed solutions.
• Navigate clearinghouses (e.g., Change Healthcare/Optum, Availity) and payor portals to verify eligibility, check claim status, and pull EOBs and remittance detail.
• Execute the manual, time-consuming administrative billing tasks that keep the operation moving — demographic and insurance corrections, claim resubmissions, payor follow-up calls, and documentation upload.
• Maintain meticulous notes and worklog hygiene in the RCM system so that every claim has a clear audit trail.
• Surface trends in denial reasons, payor behavior, and process gaps to the Head of RCM and contribute ideas for workflow improvements.
• Collaborate with Customer Support, Clinical Operations, and Lab teams to resolve the upstream issues that drive downstream denials.

What You'll Need:

• 2–5 years of revenue cycle, billing, or claims experience in a laboratory, diagnostic, or genetic testing environment (currently working at a peer lab is a strong plus).
• Hands-on experience with Xifin strongly preferred; experience with other lab RCM systems or clearinghouses (Change Healthcare/Optum, Availity, payor portals) will also be considered.
• Demonstrated experience working claims for out-of-network providers with commercial payors.
• Working knowledge of both front-end and back-end rejections and denials, and a proven track record of successful appeals.
• Required working knowledge of the following denial categories:
• Prior authorization
• Medical necessity
• Timely filing
• Eligibility
• Coordination of benefits
• Non-covered services
• Sharp attention to detail and the patience to work high volumes of detailed administrative tasks without losing accuracy.
• High-energy, go-getter mentality — you take initiative, you don’t wait to be told what to do next, and you close loops.
• Strong written and verbal communication skills, including the ability to write clear, persuasive appeal letters.
• Comfort with ambiguity and a willingness to roll up your sleeves in a small, fast-moving team.
• Proficient in Google Workspace, Excel, and modern RCM/billing tooling.

Location, Compensation, and Benefits:

• Location: Remote in the US
• Compensation: Annual salary range is $70,000 - $90,000 and will be determined based on experience.